Bills › 89th General Assembly
Where it is now
- Done: IntroducedFebruary 17, 2021
- Done: SubcommitteeFebruary 17, 2021
- Done: House committeeMarch 2, 2021
- Skipped: Passes the HouseContinued as HF 736
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Became HF 736 → Its progress continues under the new number. Go to HF 736 What’s a funnel?
What’s in it
AI summary If Medicaid or its insurance companies find they paid a doctor or hospital too much money, they cannot ask for that money back if a certain amount of time has passed. This rule also stops them from taking that extra money out of future payments to those providers.1
Read the official explanation
This bill provides that notwithstanding any provision of law to the contrary, if the Medicaid program, including any managed care organization contracting with the state to pay providers for the cost of medical services received by Medicaid members, discovers an overpayment to a provider, the provider shall not be subject to repayment of the overpayment or to offset against future reimbursement of claims by the provider if months or more have elapsed since the overpayment was made. The bill takes effect upon enactment.
Changed since by amendments S-5095, H-1235; see Amendments.
House subcommittee
Named February 17, 2021. On March 1, 2021 it recommended amendment and passage. Vote Total: 3-0.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Fiscal note
AI summary This bill requires the Department of Human Services to use state funds to reimburse Medicaid providers if a recipient is later found to be ineligible after care was already delivered. The change is estimated to cost the state $909,000 in fiscal year 2023 and subsequent fiscal years.3
Read the fiscal note
Description
House File 736 specifies that if a recipient is deemed ineligible for Medicaid following the delivery of care or service by a provider, in an administrative action to recover overpayment to the provider based solely on the ground of ineligibility, the Department of Human Services (DHS) is required to reimburse the provider for any recoupment or overpayment using State funds only. To be eligible to receive the State payment, the provider must have verified eligibility and obtained any necessary prior authorizations for the recipient, documented those actions in a manner or format established by DHS rule, and retained the required documentation in the recipient’s file.
Assumptions
This change will mainly impact individuals who were incarcerated, and the estimated fiscal impact is based on incarceration recoveries. No federal matching Medicaid funds will be used to reimburse providers.
Fiscal Impact
House File 736 is estimated to cost the State $909,000 in FY 2023 and subsequent fiscal years.
Source
- Department of Human Services
How the estimate changed
4- Final Fiscal Note — Medicaid, Refunds and Offsets · June 27, 2022 · $909,000
- Medicaid, Refunds and Offsets · March 29, 2022 · $909,000
- Medicaid, Refunds and Offsets · March 26, 2021 · $20,600
- Medicaid, Refunds and Offsets · March 9, 2021 · $20,600
Lobbying
29 for · 3 against · 15 undecided · Who →
Family tree
Study bill
89th General Assembly
Picked up later
Earlier and later bills are matched by wording or an identical title.
Similar bills
- HSB 501 HSB 50190th General Assembly · Renumbered as HF 2268Nearly identical
- HF 2142 Relating to limitations on activities related to paid claims under the Medicaid program, a…91st General Assembly · In committeeNearly identical
Matched by wording or an identical title.